Does atrioventricular node ablation with permanent pacing affect survival in patients with atrial fibrillation?
Patients with atrial fibrillation in a 10-year nationwide cohort
Atrioventricular node ablation (AVNA) and permanent pacemaker therapy (cardiac resynchronization therapy [CRT] or right ventricular [RV] pacing) for rate control
Local population norms (for overall survival); RV pacing (for CRT comparison)
Survivalhard clinical
AVNA with permanent pacing for AF rate control yields survival comparable to the general population, with early AVNA specifically benefiting CRT recipients.
In this 10-year nationwide cohort, AVNA with permanent pacing resulted in survival comparable to local population norms. CRT provided no universal survival benefit over RV pacing, but early AVNA was associated with significantly improved outcomes in CRT recipients.
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Anette Caroline Kõre
Martin Serg
Tuljo Ööbik
Arrhythmia & Electrophysiology Review
University of Tartu
Tartu University Hospital
North Estonia Medical Centre
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Kõre et al. (Tue,) studied this question.
www.synapsesocial.com/papers/69a75ffbc6e9836116a2c5ea — DOI: https://doi.org/10.15420/aer.2025.49